Search
Pay Your Bill
Contact Us Site Map Home
 
New Residential Service

Welcome to Boscobel! We’re happy to be your new utility provider. Please submit the form below to establish service at your new residence. We are available for connects and disconnects Monday through Friday.

Customer Information

*Date of new service

*Name(s) on account

New Address

*Street Address
 Apt.
*City
 *State
 *Zip

*Primary phone
 Secondary phone

Email

*Rent or Own: Rent Own
New landlord name

New landlord phone number

Previous Address

*Street Address
 Apt.
*City
 *State
 *Zip

*Primary phone
 Secondary phone

*Rent or Own: Rent Own
Previous landlord name

Previous landlord phone number

Employer

Employer name

Employer phone number

Spouse or Roommate Information

Name

Employer name

Employer phone number

Any other specific instructions:

*To help reduce spam, please answer this math problem: 2 + 2 =

*Required fields: this information is required to open a new account for electric service. The utility may need to contact you to verify any or all of the information.

© 2013 Boscobel Utilities     Privacy Statement Bookmark and Share